| NPI | 1093880486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME84523) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME84523) |
| 207P00000X Emergency Medicine (Licence: AL 00027045) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0065549) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 00027045) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2024-05-08 |