| NPI | 1316515679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0075530) |
| Additional Taxonomies | 2085N0904X (Licence: CO DR.0075530) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO DR.0075530) | |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2025-09-02 |