NPI | 1720070279 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME70057) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME70057) |
Enumeration Date | 2005-08-19 |
Last Update Date | 2022-04-14 |