NPI | 1730109752 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: MI MB054334) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI MB054334) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2012-04-06 |