| NPI | 1881845766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CA a115476) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NY 249540-1) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2012-02-04 |