NPI | 1114918091 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: MD D0023766) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MD D0023766) |
Enumeration Date | 2005-10-31 |
Last Update Date | 2009-02-27 |