| NPI | 1013234327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0056050) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 29975) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD19074) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-39877) | |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2024-03-31 |