NPI | 1982679585 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD61012033) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 332480) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01067581A) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 33043) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A102453) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AZ 33043) | |
Enumeration Date | 2006-02-17 |
Last Update Date | 2024-09-14 |