NPI | 1013187772 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: TX L8173) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: FL ME 87213) |
Enumeration Date | 2008-03-08 |
Last Update Date | 2020-12-18 |