NPI | 1992719181 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 17901) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-4205) |
2085R0202X Radiology, Diagnostic Radiology (Licence: TN MD0000039143) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1017917) | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2023-11-09 |