NPI | 1750516720 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: FL ME111206) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME111206) |
Enumeration Date | 2009-05-20 |
Last Update Date | 2023-11-17 |