NPI | 1619198272 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 12432) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A83071) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A83071) | |
Enumeration Date | 2007-05-01 |
Last Update Date | 2012-01-20 |