NPI | 1144217282 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AR R3975) |
Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: AR R3975) |
Enumeration Date | 2005-10-04 |
Last Update Date | 2011-12-06 |