NPI | 1689023178 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME172869) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MA 1013125) |
Enumeration Date | 2016-06-06 |
Last Update Date | 2025-06-17 |