| NPI | 1154509206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 44763) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-15029) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 29747) | |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2024-12-19 |