| NPI | 1083932297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 267911) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NY 267911) |
| 207U00000X Nuclear Medicine (Licence: OK 30544) | |
| 2085B0100X Radiology, Body Imaging (Licence: NY 267911) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A166076) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 267911) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2022-08-13 |