| NPI | 1003430950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 8241820) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301515674) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD228042) | |
| 208D00000X General Practice (Licence: WI 82418-20) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AL MD.52956) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ME MD29939) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 38889) | |
| 208600000X Surgery (Licence: MO 2020014721) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01098657A) | |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2026-02-14 |