| NPI | 1376746438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: FL ME107069) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01062034A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME107069) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2022-03-08 |