| NPI | 1497785893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 4267) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 4267) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2015-08-18 |