NPI | 1538200803 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD428440) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PA MD428440) |
Enumeration Date | 2007-02-09 |
Last Update Date | 2016-01-05 |