NPI | 1245295054 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 2085B0100X Radiology Body Imaging (Licence: CT 034200) |
Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: CT 034200) |
2085N0904X Radiology Nuclear Radiology (Licence: CT 034200) | |
2085P0229X Radiology Pediatric Radiology (Licence: CT 034200) | |
2085R0001X Radiology Radiation Oncology (Licence: CT 034200) | |
2085R0202X Radiology Diagnostic Radiology (Licence: CT 034200) | |
2085R0203X Radiology Therapeutic Radiology (Licence: CT 034200) | |
2085R0204X Radiology Vascular & Interventional Radiology (Licence: CT 034200) | |
2085R0205X Radiology Radiological Physics (Licence: CT 034200) | |
2085U0001X Radiology Diagnostic Ultrasound (Licence: CT 034200) | |
Enumeration Date | 2006-04-18 |
Last Update Date | 2007-07-08 |