| NPI | 1356736136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-42212) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: WI 73023) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 33367) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WY 13525A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 73023-20) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2022-08-26 |