| NPI | 1942390687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-27048) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: KS 04-27048) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-14044) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: KS 04-27048) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2023-01-23 |