NPI | 1750508883 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: NE 23267) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NE 23267) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2018-04-23 |