| NPI | 1255313136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: MD d96853) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NC 9601003) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2023-06-28 |