NPI | 1942232129 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MI 4301059831) |
Additional Taxonomies | 174400000X Specialist (Licence: MI 4301059831) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301059831) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2022-05-25 |