NPI | 1972517084 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA C146904) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NC 2006-00956) |
2085R0202X Radiology Diagnostic Radiology (Licence: AZ 44164) | |
2085R0202X Radiology Diagnostic Radiology (Licence: WA MD00048041) | |
2085R0202X Radiology Diagnostic Radiology (Licence: FL ME104259) | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2023-03-07 |