| NPI | 1780849620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO DR.0055471) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-40433) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 55471) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD19335) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 30330) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD166193) | |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2023-11-17 |