NPI | 1255367710 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX M0267) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX M0267) |
Enumeration Date | 2006-06-24 |
Last Update Date | 2023-04-25 |