| NPI | 1881198711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: ME MD27707) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 95364) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2024-05-31 |