NPI | 1669633608 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: IA MD-39436) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 39436) |
2085R0202X Radiology Diagnostic Radiology (Licence: IA 39436) | |
Enumeration Date | 2008-06-23 |
Last Update Date | 2019-06-27 |