NPI | 1497739205 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME110783) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2002008173) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO 2002008173) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036104926) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NE 21175) | |
Enumeration Date | 2005-12-05 |
Last Update Date | 2023-01-13 |