NPI | 1598723801 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA G26559) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: CA G26559) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2010-04-08 |