NPI | 1669779179 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A120040) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A120040) |
Enumeration Date | 2011-02-17 |
Last Update Date | 2023-12-12 |