NPI | 1548326838 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C53484) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PA MT189594) |
Enumeration Date | 2006-12-29 |
Last Update Date | 2010-08-20 |