| NPI | 1770511495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 71439) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 105149) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101243375) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 53274) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01049476A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD443364) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2019-07-29 |