NPI | 1023245230 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A109360) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A109360) |
Enumeration Date | 2009-06-15 |
Last Update Date | 2021-03-30 |