NPI | 1811224017 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 073449) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: GA 073449) |
Enumeration Date | 2009-11-09 |
Last Update Date | 2015-05-29 |