| NPI | 1437263803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO CDRH.0044801) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: UT 5779721-1205) |
| 2085N0700X Radiology, Neuroradiology (Licence: CO 44801) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 5779721-1205) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2022-09-09 |