| NPI | 1447221429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: PA MD055755L) |
| Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: PA MD055755L) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2025-03-28 |