NPI | 1134191828 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AL MD 24981) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 00024981) |
2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME83627) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: GA 057234) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AL 24981) | |
Enumeration Date | 2006-02-06 |
Last Update Date | 2016-10-14 |