| NPI | 1700249190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A171286) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 68706-20) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2024-04-07 |