NPI | 1790104107 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AK 208026) |
Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: AK 208026) |
Enumeration Date | 2014-04-14 |
Last Update Date | 2024-03-12 |