| NPI | 1487867214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: PA MD437137) |
| Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: PA MD437137) |
| 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: PA MD437137) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD437137) | |
| 208D00000X General Practice (Licence: PA MD437137) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2025-01-07 |