| NPI | 1851375554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 35118) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: TN 35118) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2018-10-01 |