NPI | 1386164960 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD222332) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: UT 12229859-1205) |
Enumeration Date | 2017-06-23 |
Last Update Date | 2024-10-17 |