| NPI | 1467836213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0066379) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: CO DR.0066379) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2024-07-10 |