NPI | 1992745855 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 48874) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 48874) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2021-05-28 |