| NPI | 1396815700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL md29455) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME170577) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD486937C) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2025-04-16 |