NPI | 1023096955 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: ID M-11550) |
Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: WA MD00042236) |
Enumeration Date | 2005-12-30 |
Last Update Date | 2023-03-15 |