| NPI | 1144437336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME106655) |
| Additional Taxonomies | 2085R0203X Radiology Therapeutic Radiology (Licence: FL ME106655) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2016-09-16 |