NPI | 1316908304 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: AZ 17757) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 17757) |
Enumeration Date | 2006-03-29 |
Last Update Date | 2007-11-30 |