| NPI | 1356395792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO DR.0038361) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD17554) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 25094) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-36274) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 38361) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2024-03-29 |