NPI | 1609843119 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: PA MD046922L) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD046922L) |
Enumeration Date | 2006-03-02 |
Last Update Date | 2007-07-08 |