NPI | 1982693008 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: IA 19418) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IA 19418) |
Enumeration Date | 2005-10-20 |
Last Update Date | 2007-07-08 |