| NPI | 1063431922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: NY 112468-4) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NY 112468-4) |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: NY 112468-4) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 112468-4) | |
| 2085B0100X Radiology, Body Imaging (Licence: NY 112468-4) | |
| 2085N0700X Radiology, Neuroradiology (Licence: NY 112468-4) | |
| 2085N0904X Radiology, Nuclear Radiology (Licence: NY 112468-4) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: NY 112468-4) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 112468-4) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 112468-4) | |
| 2085R0205X Radiology, Radiological Physics (Licence: NY 112468-4) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NY 112468-4) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |