| NPI | 1841452240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: PA MD451959) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125056072) |
| 207R00000X Internal Medicine (Licence: PA mt192680) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2020-10-06 |