| NPI | 1891089223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2016010901) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 0446268) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036149307) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01082252A) | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2022-09-29 |