NPI | 1326487513 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 292714) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 292714) |
Enumeration Date | 2013-06-20 |
Last Update Date | 2019-04-19 |