NPI | 1891256731 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0075309) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2024018266) |
Enumeration Date | 2019-03-25 |
Last Update Date | 2025-08-29 |