NPI | 1932212214 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101253529) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 238089) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2021-07-21 |