| NPI | 1083908834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: IA R-10062) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IA R-9085) |
| 2085B0100X Radiology Body Imaging (Licence: IA R-10062) | |
| 2085N0904X Radiology Nuclear Radiology (Licence: IA R-10062) | |
| 2085D0003X Radiology Diagnostic Neuroimaging (Licence: IA R-10062) | |
| 2085H0002X Radiology Hospice and Palliative Medicine (Licence: IA R-10062) | |
| 2085N0700X Radiology Neuroradiology (Licence: IA R-10062) | |
| 2085P0229X Radiology Pediatric Radiology (Licence: IA R-10062) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IA R-10062) | |
| 2085R0203X Radiology Therapeutic Radiology (Licence: IA R-10062) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: IA R-10062) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD463839) | |
| 2085R0205X Radiology Radiological Physics (Licence: IA R-10062) | |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: IA R-10062) | |
| 208D00000X General Practice (Licence: FL ME137781) | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2023-08-30 |