NPI | 1881796290 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME97470) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PR 13541) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME97470) | |
Enumeration Date | 2006-09-05 |
Last Update Date | 2025-08-01 |