| NPI | 1598085425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: UT 9761214-1205) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A163114) |
| 2085N0904X Radiology, Nuclear Radiology (Licence: CA A163114) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2024-11-19 |