| NPI | 1083949267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 068237) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 20074) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 45383) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 0-68237) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SC TL-35081) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2011-00894) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-6270) | |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2019-10-25 |