NPI | 1235187758 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: CA A47869) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A47869) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2022-12-06 |