NPI | 1902293285 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: MO 2020012775) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2020012775) |
Enumeration Date | 2015-04-23 |
Last Update Date | 2023-08-23 |