NPI | 1548316136 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0051612) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: CO DR0051612) |
2085N0700X Radiology, Neuroradiology (Licence: CO 0051612) | |
Enumeration Date | 2007-01-26 |
Last Update Date | 2022-09-09 |