NPI | 1134395445 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: DE C7-0004033) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA OS016894) |
Enumeration Date | 2008-05-06 |
Last Update Date | 2017-01-27 |