NPI | 1841200078 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: VA 0101051039) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: VA 0101051039) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2020-10-27 |