NPI | 1558439299 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MI 4301061629) |
Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: MI 4301061629) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2007-07-08 |