| NPI | 1437605037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME129570) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: FL ME129570) |
| 2085N0700X Radiology, Neuroradiology (Licence: FL ME129570) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-01-25 |