NPI | 1922018613 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 103385) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME159757) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2025-09-10 |