| NPI | 1548316136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO DR.0051612) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: CO DR0051612) |
| 2085N0700X Radiology Neuroradiology (Licence: CO 0051612) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2022-09-09 |