NPI | 1962468926 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: SD 3356) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SD 3356) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2018-02-17 |