| NPI | 1477793198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO DR-50008) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: HI MD21075) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: KS 04-42964) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NE 27009) | |
| Enumeration Date | 2009-02-21 |
| Last Update Date | 2022-12-09 |