| NPI | 1669601605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: PA MD466412) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: GA 76121) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2024-01-12 |