NPI | 1881866101 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME100678) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME 100678) |
Enumeration Date | 2008-03-26 |
Last Update Date | 2022-11-02 |