| NPI | 1306135777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME148124) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 39191) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2023-08-17 |