| NPI | 1093167405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: PA MD475032) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: MI 4351045831) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD475032) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT210911) | |
| Enumeration Date | 2016-07-09 |
| Last Update Date | 2021-08-24 |