| NPI | 1295922359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 18890) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 234003) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 050586) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 65919) | |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2023-09-08 |