| NPI | 1841248200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-31946) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2003009168) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 23688) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2016-08-08 |