| NPI | 1578551321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME67956) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 97987) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 97987) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101284152) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME 67956) | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2025-11-06 |