NPI | 1508217969 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: MI 4301511496) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01093080A) |
Enumeration Date | 2016-06-28 |
Last Update Date | 2024-07-09 |