NPI | 1457343790 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CT 039728) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 039728) |
Enumeration Date | 2005-08-22 |
Last Update Date | 2013-05-02 |