NPI | 1053721258 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OR MD177671) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD177671) |
Enumeration Date | 2014-04-28 |
Last Update Date | 2023-11-22 |