| NPI | 1013226869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-6527) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: AR E-6527) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: AR E-6527) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D94126) | |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2023-09-27 |