NPI | 1922032325 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 9501315) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 15873) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2024-09-24 |