NPI | 1023281573 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MD D70859) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: DC MD036680) |
Enumeration Date | 2008-04-04 |
Last Update Date | 2021-11-23 |