NPI | 1528280385 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: UT 284799-1205) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 45051-020) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WI 45051-020) | |
Enumeration Date | 2007-05-02 |
Last Update Date | 2024-09-05 |