NPI | 1326497884 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MI 4301506220) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 74822-20) |
Enumeration Date | 2016-06-06 |
Last Update Date | 2023-01-13 |