NPI | 1194784561 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: MI 4301051260) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MI 4301051260) |
Enumeration Date | 2006-03-22 |
Last Update Date | 2020-10-22 |