| NPI | 1841403110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60292915) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: WA MD60292915) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01066258a) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301088540) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2021-06-23 |