NPI | 1144547134 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX T3518) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T3518) |
Enumeration Date | 2010-04-29 |
Last Update Date | 2024-06-25 |