NPI | 1932146164 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD071306L) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 041601) |
Enumeration Date | 2006-05-31 |
Last Update Date | 2020-10-14 |