NPI | 1932275906 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CA G57212) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G57212) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2018-08-03 |