NPI | 1518940071 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 229785) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NY 229785) |
Enumeration Date | 2005-11-29 |
Last Update Date | 2008-05-05 |