| NPI | 1518917368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-34751) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01050618A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD048858L) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD0003583) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-113233) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 34281) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 40364) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2013-04-10 |