NPI | 1861923930 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO DR.0070991) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MN 71220) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2024-03-31 |