NPI | 1992242028 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AK 204160) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R9235) |
Enumeration Date | 2017-01-26 |
Last Update Date | 2024-06-21 |