| NPI | 1437130838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD426009) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MT 166561) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2026-05-26 |