| NPI | 1295708576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A98560) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MN 45924) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01068471A) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: HI 14653) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-09-09 |