NPI | 1104142512 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2020-02657) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NC 2020-02657) |
Enumeration Date | 2010-04-09 |
Last Update Date | 2023-02-03 |