NPI | 1932272002 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00039396) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD162259) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2024-08-30 |