| NPI | 1295808939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME113463) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: LA MD201117) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PA MD429311) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2016-04-28 |