| 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 |