NPI | 1780782177 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 34537) |
Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: CA A102818) |
2085R0204X Radiology Vascular & Interventional Radiology (Licence: CA A102818) | |
2085R0202X Radiology Diagnostic Radiology (Licence: CA A102818) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2015-01-20 |