| NPI | 1922323997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 16297) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NV 16297) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NV 16297) | |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2024-04-02 |