NPI | 1639152655 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 43516) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: CO 43516) |
Enumeration Date | 2005-11-23 |
Last Update Date | 2013-08-14 |