NPI | 1972552107 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 066883) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 47555) |
Enumeration Date | 2006-05-06 |
Last Update Date | 2019-05-06 |