| NPI | 1396761185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: MD D59514) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: MS 17822) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-02-23 |