| NPI | 1467864876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: ME MD23556) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 277620) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2024-02-08 |