| NPI | 1619102951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 28627) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NE 28627) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IA 42714) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 42714) | |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2016-07-20 |