NPI | 1205861598 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 224874) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: MA 224874) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2022-01-31 |