NPI | 1295077196 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO DR.0072439) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NE 36210) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WY 16941A) | |
Enumeration Date | 2013-03-19 |
Last Update Date | 2024-07-02 |