NPI | 1336185784 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: UT 5903579-1205) |
Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: UT 5903579-1205) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2015-10-22 |