| NPI | 1386806362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: TX Q7725) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: AZ 49163) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2022-07-21 |