NPI | 1972830206 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD038183) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D72769) |
2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101250301) | |
Enumeration Date | 2009-11-06 |
Last Update Date | 2022-01-18 |