| NPI | 1073960241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 36496) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 64714) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2023-08-10 |