NPI | 1871055517 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: DE C2-0023957) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MD H0103210) |
Enumeration Date | 2019-04-02 |
Last Update Date | 2025-07-01 |