| NPI | 1679100713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2026-0396) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NM MD2026-0396) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2026-05-20 |