NPI | 1124155106 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO DR.0032143) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 32143) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2021-04-22 |