NPI | 1972655298 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0063746) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: MD D0063746) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0063746) | |
Enumeration Date | 2007-01-17 |
Last Update Date | 2007-07-08 |