| NPI | 1992814008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 33252) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 45996) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD-15205) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-08-13 |