NPI | 1437258910 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD09961) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: RI MD09961) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2021-12-06 |