NPI | 1326295742 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D74621) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: MD D74621) |
Enumeration Date | 2008-08-27 |
Last Update Date | 2019-04-26 |