| NPI | 1881665826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 6373) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX F1809) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME45603) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 26006) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01075082A) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01075082A) | |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2015-10-07 |