NPI | 1235218942 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MT MED-PHYS-LIC-115210) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 46570) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MT MED-PHYS-LIC-115210) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO 46570) | |
Enumeration Date | 2006-11-03 |
Last Update Date | 2024-05-09 |