| NPI | 1780700526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: PA MD445594) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: MO 2011004800) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2023-01-26 |