| NPI | 1952576332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO DR.0048574) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 128046) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 48574) | |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2019-11-08 |