| NPI | 1417957614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0077665) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME0077665) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2023-02-17 |