| NPI | 1609801711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: IA MD-36713) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: IA MD-36713) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2024-05-23 |