| NPI | 1417104936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: VA 0101254435) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PA MD455991) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2019-04-05 |