NPI | 1730183187 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME104596) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: KY 36956) |
Enumeration Date | 2005-06-13 |
Last Update Date | 2024-06-27 |