| NPI | 1821060526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 43056) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD424205) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 00023697) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 057337) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2021-03-04 |