NPI | 1821023888 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO DR.0072806) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 227970) |
2085R0202X Radiology, Diagnostic Radiology (Licence: NY 307262) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CT 54632) | |
Enumeration Date | 2006-07-11 |
Last Update Date | 2024-04-10 |