| NPI | 1104020296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: TX M6070) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX M6070) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX M6070) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2023-10-16 |