NPI | 1972729226 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-35206) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME125941) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2012001748) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: IA 39663) | |
Enumeration Date | 2007-04-17 |
Last Update Date | 2023-05-17 |