| NPI | 1043269699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 14322) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR C-5201) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME 46443) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GU M-880) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2021-04-09 |