| NPI | 1215929948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME138242) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0009788) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0043383) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MD D0043383) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: DE C1-0009788) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME138242) | |
| 2085N0700X Radiology, Neuroradiology (Licence: DE C1-0009788) | |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2024-04-03 |