| NPI | 1528293701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: TN 59886) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0101261859) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: CO CDR.0001425) | |
| 207T00000X Neurological Surgery (Licence: TN 59886) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101261859) | |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2022-01-06 |