NPI | 1720078330 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: DC MD19177) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD19177) |
Enumeration Date | 2005-10-25 |
Last Update Date | 2007-07-08 |