NPI | 1437387214 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MI 5101018123) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX P9393) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2015-07-17 |