NPI | 1255313136 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: MD d96853) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NC 9601003) |
Enumeration Date | 2005-11-16 |
Last Update Date | 2023-06-28 |