| NPI | 1821516345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 243U00000X Radiology Practitioner Assistant (Licence: AK 138210) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: AK 138210) |
| 207X00000X Orthopaedic Surgery (Licence: AK 1760938021) | |
| 2085R0203X Radiology Therapeutic Radiology (Licence: AK 138210) | |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2022-10-21 |