NPI | 1902244122 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA OS023242) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 33438) |
2085R0202X Radiology, Diagnostic Radiology (Licence: HI DOS-1661) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MB11328400) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: ME DO3855) | |
Enumeration Date | 2013-06-10 |
Last Update Date | 2024-07-22 |