NPI | 1710304746 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME145681) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NV 27275) |
Enumeration Date | 2014-03-27 |
Last Update Date | 2025-09-16 |