NPI | 1457487639 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 61764) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE AT2887175) |
Enumeration Date | 2007-02-24 |
Last Update Date | 2023-11-20 |