NPI | 1265549471 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: MA 219876) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 219876) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2011-02-14 |