NPI | 1942648662 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2025012292) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0013074) |
Enumeration Date | 2013-06-05 |
Last Update Date | 2025-04-29 |