| NPI | 1932307295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AL 48618) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 82747) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: DC MD040553) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A126204) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 313342) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2024-04-25 |