NPI | 1942887575 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A181998) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA PTL6985) |
Enumeration Date | 2021-03-28 |
Last Update Date | 2024-11-03 |