NPI | 1992144976 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: ME MD22415) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 143274) |
Enumeration Date | 2013-06-23 |
Last Update Date | 2019-01-24 |