NPI | 1548688153 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: NY 282023) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 282023) |
Enumeration Date | 2014-04-01 |
Last Update Date | 2023-08-16 |