| NPI | 1922410208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0062284) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 32843) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD21504) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-43790) | |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2022-12-07 |