| NPI | 1730341710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 75546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL30918) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2018-11-12 |