| NPI | 1841851417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: NY 337643) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: CA A192976) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2025-07-08 |