NPI | 1447783717 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AL 3717) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MS 31375) |
Enumeration Date | 2017-04-04 |
Last Update Date | 2024-07-01 |