| NPI | 1770525594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR C-8120) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: AR C-8120) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-09-15 |