NPI | 1194705301 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: TX L3373) |
Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: MN 47034) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2012-02-15 |