NPI | 1710430319 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CO DR.0072185) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0072185) |
Enumeration Date | 2016-07-31 |
Last Update Date | 2024-03-24 |