NPI | 1386080661 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: NY 277871) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 277871) |
282N00000X General Acute Care Hospital | |
Enumeration Date | 2013-05-14 |
Last Update Date | 2022-09-12 |