NPI | 1093811697 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: MI 4301073875) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301073875) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2023-10-22 |