| NPI | 1861726077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR DO220167) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 05-50096) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS21657) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MT MED-PHYS-LIC-148473) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX V3891) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0074105) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 14225604-1204) | |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2026-03-09 |