NPI | 1003201146 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: NY 289923) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 289923) |
Enumeration Date | 2015-04-06 |
Last Update Date | 2024-03-14 |