NPI | 1881689487 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME74591) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 75363) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MA 75363) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME74591) | |
Enumeration Date | 2005-09-20 |
Last Update Date | 2024-04-03 |