NPI | 1306188073 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME139086) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NC 237357) |
Enumeration Date | 2013-03-20 |
Last Update Date | 2023-07-19 |