NPI | 1891149852 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A174405) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: CT 66666) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CT 66666) | |
282N00000X General Acute Care Hospital | |
Enumeration Date | 2016-04-15 |
Last Update Date | 2024-06-13 |