NPI | 1962486415 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 046057) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 046057) |
Enumeration Date | 2005-11-30 |
Last Update Date | 2007-07-08 |