NPI | 1528521721 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0072985) |
Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: CO DR.0072985) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO DR.0072985) | |
Enumeration Date | 2019-04-13 |
Last Update Date | 2024-10-22 |