NPI | 1942797170 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME173370) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD61408278) |
2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.160177) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: AK 218276) | |
Enumeration Date | 2018-04-13 |
Last Update Date | 2025-09-26 |