NPI | 1922042068 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A105145) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A105145) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CA A105145) | |
Enumeration Date | 2006-06-16 |
Last Update Date | 2019-12-11 |