| NPI | 1437593779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX q3466) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-17176) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 37182) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 273338) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 24438) | |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2023-11-29 |