| NPI | 1851825467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 26315) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: AR E-14178) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-14178) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME155278) | |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2023-02-02 |