NPI | 1720079270 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME87990) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME87990) |
Enumeration Date | 2005-11-03 |
Last Update Date | 2024-01-02 |