NPI | 1841729431 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AZ 56935) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 2085R0202X) |
2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 56935) | |
208600000X Surgery (Licence: AZ R76343) | |
Enumeration Date | 2017-06-07 |
Last Update Date | 2023-11-20 |