| NPI | 1689678229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PR 12947) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: PR 12947) |
| 2085N0700X (Licence: PR 12947) | |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2022-07-28 |