| NPI | 1417236902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME144863) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 11016227A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01071787A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q4896) | |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2020-10-21 |