| NPI | 1275821449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 61599) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 70371) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2024-03-28 |