| NPI | 1962485102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 12651) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 14523) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2023-03-10 |