| NPI | 1346136660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 94-12308) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-12308) |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-06-13 |