| NPI | 1417925306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: WI 41712) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: CA G58122) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2024-01-25 |