NPI | 1679533707 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 31602) |
Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NC 31602) |
2085N0700X Radiology, Neuroradiology (Licence: NC 31602) | |
Enumeration Date | 2006-03-24 |
Last Update Date | 2020-09-12 |