NPI | 1609949601 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00D16031) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: WA 00016031) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2010-01-26 |