NPI | 1942513288 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WY 14070A) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0065791) |
2085R0202X Radiology, Diagnostic Radiology (Licence: WY 14070A) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: NE COPS126) | |
Enumeration Date | 2010-07-15 |
Last Update Date | 2024-06-17 |