| NPI | 1841426459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: VA 0101247991) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: CA A145800) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2023-08-02 |