| NPI | 1376992438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: NC 2021-01979) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: NC 2021-01979) |
| 207R00000X Internal Medicine (Licence: MI 4301109562) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2022-07-13 |