NPI | 1972090363 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AK 210633) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 81389) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MS 27426) | |
Enumeration Date | 2018-04-20 |
Last Update Date | 2024-08-16 |