| NPI | 1427383389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS19684) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101018456) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 3755) | |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2024-08-29 |