| NPI | 1467841346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX U6456) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: TX BP10051704) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX BP10051704) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 289855) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME152551) | |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2024-08-11 |