NPI | 1902834187 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME84396) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME84396) |
2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01089831A) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: KY TP492) | |
Enumeration Date | 2006-06-28 |
Last Update Date | 2023-05-23 |