NPI | 1922099100 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: CA C160688) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C160688) |
Enumeration Date | 2005-11-04 |
Last Update Date | 2024-04-05 |