| NPI | 1740279496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: MD D36027) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: PA MD050090L) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2016-12-07 |