| NPI | 1285165183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 64443) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A178183) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2023-06-28 |