NPI | 1083698385 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CO 44660) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NC 200400806) |
Enumeration Date | 2005-12-01 |
Last Update Date | 2016-03-08 |