| NPI | 1114190782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MI EMC0004774) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO 2014008777) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01074595A) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036136496) | |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2024-03-06 |