NPI | 1326033820 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 041469) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: CT 041469) |
Enumeration Date | 2005-09-12 |
Last Update Date | 2023-09-07 |