NPI | 1124448741 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 306058-01) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 946244) |
Enumeration Date | 2014-04-22 |
Last Update Date | 2023-07-25 |