NPI | 1336381391 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME127285) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 127285) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME127285) | |
Enumeration Date | 2009-04-06 |
Last Update Date | 2025-09-08 |