NPI | 1497041396 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX S4357) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: HI DOS-1468) |
Enumeration Date | 2011-06-20 |
Last Update Date | 2023-12-14 |