| NPI | 1144482522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME0110174) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 430) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME0110174) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2024-03-29 |