NPI | 1982046769 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 5594) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX U4426) |
Enumeration Date | 2013-07-22 |
Last Update Date | 2023-08-01 |