| NPI | 1144334632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CA A111484) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A111484) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA ML20008390) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2024-05-15 |