NPI | 1619014107 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: NY 208269) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 208269) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2007-09-07 |