| NPI | 1255745063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2015023840) |
| Additional Taxonomies | 2085H0002X Radiology, Hospice and Palliative Medicine (Licence: MO 2015023840) |
| 2085N0700X (Licence: MO 2015023840) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.153833) | |
| 208D00000X General Practice (Licence: MO 2015023840) | |
| 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: MO 2015023840) | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2024-12-18 |