NPI | 1548224132 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: MO R2D56) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MO R2D56) |
Enumeration Date | 2006-04-12 |
Last Update Date | 2009-09-04 |