| NPI | 1841827979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A176546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A176546) |
| 2085B0100X Radiology, Body Imaging (Licence: CA A176546) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-06-03 |