| NPI | 1902423155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RM1200X Internal Medicine, Magnetic Resonance Imaging (MRI) (Licence: UT 14281402-1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T3986) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2026-07-22 |