NPI | 1720017064 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: KS 04-18064) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NE 19074) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO R8150) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: KS 418064) | |
Enumeration Date | 2006-06-30 |
Last Update Date | 2016-07-28 |