NPI | 1154354546 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO DR.0027075) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NE 20589) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WY 7643A) | |
Enumeration Date | 2006-07-08 |
Last Update Date | 2022-03-18 |