NPI | 1992740187 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0056788) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-14068) |
Enumeration Date | 2006-06-19 |
Last Update Date | 2023-03-07 |