NPI | 1821040080 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 215978) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 215978) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2019-03-21 |