| NPI | 1497716716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2009004975) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: OK 28121) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: KS 0434212) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: CA G60035) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: AR E10052) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: MO 2009004975) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: CA G60035) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2023-06-21 |