| NPI | 1801826201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2010-01485) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 34298) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME 81876) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 15248) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2017-12-20 |