| NPI | 1275979437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0085589) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 192092) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2020-04356) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NC 202004356) | |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2024-03-11 |