| NPI | 1225288038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0070327) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 007172) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2016016731) | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2023-07-31 |