NPI | 1205892247 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2004001436) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: MO 2004001436) |
2085N0700X Radiology, Neuroradiology (Licence: MO 2004001436) | |
2085N0904X Radiology, Nuclear Radiology (Licence: MO 2004001436) | |
2085U0001X Radiology, Diagnostic Ultrasound (Licence: MO 2004001436) | |
Enumeration Date | 2006-04-26 |
Last Update Date | 2012-06-04 |