| NPI | 1548482151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME99299) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: FL ME99299) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME 99299) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 57561) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-05-12 |