| NPI | 1528087913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036-100483) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IA 31814) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WI 43507-020) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME105953) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-11-18 |