NPI | 1144751470 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OR 219506) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR 219503) |
Enumeration Date | 2017-03-27 |
Last Update Date | 2024-08-19 |