NPI | 1326013137 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CA A98449) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 223847) |
Enumeration Date | 2006-02-23 |
Last Update Date | 2015-07-22 |