NPI | 1023577079 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME166503) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME166503) |
Enumeration Date | 2019-03-19 |
Last Update Date | 2025-07-21 |