| NPI | 1548553522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0058461) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD21652) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-43588) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 29998) | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2022-12-12 |