NPI | 1982674925 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301088832) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD422684) |
Enumeration Date | 2006-01-24 |
Last Update Date | 2024-04-16 |