| NPI | 1245250802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MN 73100) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2006007047) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2023-03-24 |