NPI | 1932197761 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME64091) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 97448) |
Enumeration Date | 2005-10-06 |
Last Update Date | 2025-08-18 |