NPI | 1265424006 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 198155) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 253431) |
Enumeration Date | 2005-08-18 |
Last Update Date | 2024-08-30 |