NPI | 1912084955 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A91663) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0087914) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2024-11-19 |