| NPI | 1750541934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OK 26337) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 0437257) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2014018809) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 26337) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2024-02-21 |