| NPI | 1184228348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL MD.49748) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS53324) |
| Enumeration Date | 2020-11-27 |
| Last Update Date | 2025-02-22 |