| NPI | 1043287220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 24329) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN md27447) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: SC 24329) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2023-11-30 |