NPI | 1821044553 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME82942) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G61922) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME 82942) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA G61922) | |
Enumeration Date | 2006-05-25 |
Last Update Date | 2010-11-17 |