NPI | 1588623979 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME89710) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: FL ME89710) |
Enumeration Date | 2006-03-22 |
Last Update Date | 2015-02-16 |