| NPI | 1770558280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA MD-038845) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD 900409) |
| Enumeration Date | 2006-02-19 |
| Last Update Date | 2023-12-29 |