NPI | 1396094652 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: TX R4583) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R4583) |
Enumeration Date | 2012-09-02 |
Last Update Date | 2018-08-07 |