NPI | 1609003581 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 44930) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AZ 44930) |
Enumeration Date | 2009-06-17 |
Last Update Date | 2025-07-29 |