| NPI | 1851352371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0060386) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME105918) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0116017273) | |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2018-07-27 |