| NPI | 1750744819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME157131) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD228560) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO CDR.0006337) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MT 166345) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 14265599-1235) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-52470) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX W3090) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2026-07-13 |