| NPI | 1740406446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 0431694) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0068261) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 34791) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD22862) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2022-12-14 |