| NPI | 1952804890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD486076) |
| Additional Taxonomies | 2085N0700X (Licence: FL ME168767) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2025-04-29 |