| NPI | 1366601346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60613352) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0052502) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01066857A) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2024-09-03 |