| NPI | 1427036227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME0054418) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01055947A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 041575) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2016-11-09 |