| NPI | 1417119553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD-15289) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 59757) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-40698) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 30603) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2022-12-09 |