| NPI | 1396863577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MD D0065537) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: MD D0065537) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2025-08-18 |