NPI | 1790931715 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX S4235) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: MI 4301103078) |
2085N0700X Radiology, Neuroradiology (Licence: TX S4235) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301103078) | |
208600000X Surgery (Licence: AZ R70528) | |
Enumeration Date | 2008-08-10 |
Last Update Date | 2024-11-07 |