NPI | 1912997859 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 021793) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 021793) |
Enumeration Date | 2005-10-23 |
Last Update Date | 2019-05-06 |