NPI | 1427469998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MD D0095093) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0095093) |
Enumeration Date | 2014-05-18 |
Last Update Date | 2022-09-15 |