| NPI | 1245718576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: AR E-13321) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: MA 277033) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2020-07-28 |