| NPI | 1831341007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA MD-46653) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 306666) |
| Enumeration Date | 2008-10-18 |
| Last Update Date | 2019-11-26 |