| NPI | 1952426983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME98264) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: NC 200500993) |
| 2085B0100X Radiology, Body Imaging (Licence: FL ME98264) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200500993) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-11-20 |