| NPI | 1770574204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NC 9800893) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 98-00893) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2023-03-10 |