NPI | 1033125414 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA G56141) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: CA G56141) |
2085N0904X Radiology, Nuclear Radiology (Licence: CA G56141) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: CA G56141) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA G56141) | |
Enumeration Date | 2006-07-31 |
Last Update Date | 2007-07-12 |