NPI | 1174838627 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: CA 134946) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 134946) |
Enumeration Date | 2010-08-09 |
Last Update Date | 2016-11-29 |