NPI | 1841253986 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO 46161) |
Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: PA MD428685) |
2085R0202X Radiology Diagnostic Radiology (Licence: PA MD428685) | |
2085N0700X Radiology Neuroradiology (Licence: CO 46161) | |
Enumeration Date | 2006-04-10 |
Last Update Date | 2017-01-04 |