NPI | 1932217916 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 159175) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ME MD28870) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2025-08-20 |