NPI | 1457549198 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 37655) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 44375) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TN 44375) | |
Enumeration Date | 2007-10-09 |
Last Update Date | 2023-05-02 |