NPI | 1992202303 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 73335) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 73479) |
Enumeration Date | 2018-04-11 |
Last Update Date | 2024-10-15 |