| NPI | 1669458766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME158436) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX U1791) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AZ 67934) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036.126576) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 323885) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO DR.0069421) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 77011) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NJ 25MA09461600) | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2024-02-15 |