NPI | 1740403583 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AL MD 29560) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL MD.29560) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2016-10-17 |