NPI | 1477889558 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD437075) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: PA MD437075) |
Enumeration Date | 2009-10-26 |
Last Update Date | 2019-02-12 |