NPI | 1811950827 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA RHL133112) |
Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: CA RHL133112) |
Enumeration Date | 2006-04-10 |
Last Update Date | 2023-03-07 |