| NPI | 1093795023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 53657) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI 11202) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-120604) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 42912) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2024-04-10 |