NPI | 1982638466 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME109093) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 34710) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME109093) | |
Enumeration Date | 2006-07-10 |
Last Update Date | 2011-10-06 |