| NPI | 1932248101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 4205) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 101304) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2024-10-30 |