| NPI | 1093846370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO 46046) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 211701) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: KS 04-36773) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: HI MD18504) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NE 25131) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2024-03-29 |