| NPI | 1528221645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0073652) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: MD D0076335) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 258081) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 48216) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2024-10-21 |