| NPI | 1609818004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G54167) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G54167) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2023-11-14 |