NPI | 1336114891 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 35993) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO 35993) |
Enumeration Date | 2006-02-20 |
Last Update Date | 2025-05-13 |