NPI | 1720101199 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: AL L.4309SP) |
Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: MO 2007006976) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2016-07-09 |