| NPI | 1386986172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D85601) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL MD.33815) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD494312) | |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2026-08-11 |