| NPI | 1295850386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 059768) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 29055) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2016-03-03 |