| NPI | 1164529145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301095663) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 057798) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SC MD29284) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01066355A) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-09-24 |