| NPI | 1750600532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: DE C1-0011366) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A112460) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0011366) | |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2024-03-19 |