NPI | 1427493931 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME140982) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WI 13521) |
Enumeration Date | 2013-05-10 |
Last Update Date | 2025-06-24 |