| NPI | 1285805291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2008010708) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 11012091A) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: LA MD.202109) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME105073) | |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2021-06-22 |