NPI | 1518456441 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CA A184982) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A184982) |
Enumeration Date | 2018-05-07 |
Last Update Date | 2024-10-23 |