NPI | 1215943535 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO R3D61) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO R3D61) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2021-04-29 |