NPI | 1821229709 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-9740) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2016007047) |
2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2020-0269) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO 2016007047) | |
Enumeration Date | 2009-07-27 |
Last Update Date | 2021-06-22 |