| NPI | 1144203134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 18086) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 74007) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 15045) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 30312) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2023-03-09 |