| NPI | 1538113923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 36720) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 22532) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-26439) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD17558) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 31037) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2024-03-29 |