NPI | 1417450271 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: MO 2024015342) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 20A20860) |
Enumeration Date | 2018-03-17 |
Last Update Date | 2024-05-07 |