| NPI | 1093770786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-2528) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E2528) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2019-12-17 |