NPI | 1134377518 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: FL ME 124558) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN11669) |
Enumeration Date | 2008-08-28 |
Last Update Date | 2016-08-06 |