| NPI | 1518911726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-15009) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 41211) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 5900184-1205) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO Dr.0061109) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ND 17691) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 49491) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2024-05-16 |