NPI | 1184676389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: MD D54096) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MD D54096) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2007-07-08 |