| NPI | 1265498414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA md426234) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD426234) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2024-09-26 |