NPI | 1033351630 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 252210) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NY 252210) |
Enumeration Date | 2009-03-27 |
Last Update Date | 2012-09-21 |