| NPI | 1285863837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CA A110906) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: WA MD60374570) |
| Enumeration Date | 2009-07-03 |
| Last Update Date | 2022-05-09 |