NPI | 1992711006 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 107967) |
Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: MO 107967) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2022-09-22 |