| NPI | 1881753291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 068361) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 026264) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101241287) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 20290) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2013-08-21 |