| NPI | 1265634307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: ME MD22385) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 67798) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2023-02-22 |