| NPI | 1053371583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME68377) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: FL ME68377) |
| 2085N0700X Radiology Neuroradiology (Licence: FL ME68377) | |
| 2085N0904X Radiology Nuclear Radiology (Licence: FL ME68377) | |
| 2085P0229X Radiology Pediatric Radiology (Licence: FL ME68377) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: FL ME68377) | |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: FL ME68377) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2010-03-15 |