| NPI | 1730342841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 56633) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD18672) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 29140) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-38845) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 254338) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2026-03-23 |