NPI | 1548335987 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME95113) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME95113) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2025-03-10 |