NPI | 1013140136 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: FL ME112657) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 272403) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME112657) | |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 272403) | |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: FL ME112657) | |
2085N0700X Radiology, Neuroradiology (Licence: NY 272403) | |
Enumeration Date | 2009-08-24 |
Last Update Date | 2021-03-08 |