NPI | 1518062413 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 009800582) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NC 9800582) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2012-06-19 |