| NPI | 1033173091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NH 7122) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: NH 7122) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2023-12-18 |