NPI | 1952347270 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 05-34770) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR DO218063) |
2085R0202X Radiology, Diagnostic Radiology (Licence: UT 14217269-1234) | |
Enumeration Date | 2006-06-22 |
Last Update Date | 2025-09-15 |