NPI | 1891734398 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME0116692) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A75710) |
2085R0202X Radiology Diagnostic Radiology (Licence: WA MD61553121) | |
Enumeration Date | 2006-06-06 |
Last Update Date | 2024-09-13 |