| NPI | 1033262985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 56519) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 0420011486) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 29025) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C183543) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2023-08-25 |