| NPI | 1346294733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO 20040) |
| Additional Taxonomies | 207KI0005X Allergy & Immunology Clinical & Laboratory Immunology (Licence: HI MD17561) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NE 25208) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: KS 04-19632) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2024-03-31 |