| NPI | 1821009531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: KS 04-33549) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036 109984) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IA 36825) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MI 4301082059) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2010-07-02 |