| NPI | 1831351394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: DC MD042641) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD042641) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2012-02026) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2024-03-25 |