NPI | 1407175110 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NC 2016-01055) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2016-01055) |
Enumeration Date | 2010-05-19 |
Last Update Date | 2024-01-22 |