| NPI | 1528055001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-13238) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01057508) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 45862) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 61599) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD441867) | |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2024-11-18 |