| NPI | 1518132521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 50587) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 27578) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-36830) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD17473) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2022-12-07 |