| NPI | 1447244942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RM1200X Internal Medicine, Magnetic Resonance Imaging (MRI) (Licence: PR 14871) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PR 14871) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PR 14871) | |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2007-07-08 |