| NPI | 1346656972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: GA 85521) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 007342) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2021-12-16 |