NPI | 1396798500 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX M5098) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01056284A) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2021-05-28 |