NPI | 1144647272 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IA MD-50885) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA MD-50885) |
2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME145423) | |
Enumeration Date | 2014-03-26 |
Last Update Date | 2023-04-05 |