| NPI | 1013150887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PA OS015786) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS015786) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA OS015786) | |
| 208M00000X Hospitalist (Licence: PA OS015786) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2020-11-11 |