NPI | 1932514379 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 032.0133871) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 289803) |
Enumeration Date | 2014-06-24 |
Last Update Date | 2024-06-12 |