NPI | 1427210855 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A109975) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 70471) |
2085N0700X Radiology, Neuroradiology (Licence: CA A109975) | |
Enumeration Date | 2008-06-26 |
Last Update Date | 2024-05-16 |