| NPI | 1346211877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0043302) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: MD D0043302) |
| 207R00000X Internal Medicine (Licence: MD D0043302) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 270416) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2013-12-10 |