NPI | 1760414957 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A94900) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A94900) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2015-06-25 |