| NPI | 1982869806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 4573) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: OK 4573) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI EMC0005280) | |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2024-08-02 |