NPI | 1841534997 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A123178) |
Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: CA A123178) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2023-11-17 |