NPI | 1508031253 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: NC 2011-01094) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NC 2011-01094) |
Enumeration Date | 2008-04-24 |
Last Update Date | 2023-03-10 |