NPI | 1164452678 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D008065) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MD D008065) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2014-02-03 |