NPI | 1881666022 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 43264) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 61270) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2025-03-04 |