| NPI | 1396867586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME0081312) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MT 7014) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL 2522-1) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL BO6991219) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 99027268A) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-09-07 |