| NPI | 1992096614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS15262) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL OS15262) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2026-02-27 |