NPI | 1689681181 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G73595) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: CA G73595) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2014-05-19 |