| NPI | 1356320436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2009018431) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 0533791) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 4587) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-8860) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2023-02-02 |