| NPI | 1700449618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: CO DR.0074534) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: MD D91606) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2025-07-23 |