NPI | 1790741007 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 29054) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NC 29054) |
Enumeration Date | 2006-04-25 |
Last Update Date | 2016-09-14 |