NPI | 1437136710 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 186988-1) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NY 186988-1) |
Enumeration Date | 2005-12-28 |
Last Update Date | 2016-11-30 |