| NPI | 1982850111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 50686) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125052287) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-36462) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 26564) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD17475) | |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2024-03-29 |