| NPI | 1285625475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 47377) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD17586) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-34928) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 25225) | |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2022-12-22 |