| NPI | 1922274034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2011-00064) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 23705) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2025-05-19 |