NPI | 1194080010 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: WI 72408) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 261368) |
Enumeration Date | 2012-07-06 |
Last Update Date | 2021-03-02 |