NPI | 1437175429 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: AL 27552) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: WA MD00040738) |
2085R0202X Radiology Diagnostic Radiology (Licence: AL 27552) | |
Enumeration Date | 2006-07-14 |
Last Update Date | 2023-06-29 |