NPI | 1255378527 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: PA MD028712E) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: PA MD028712E) |
2085N0904X Radiology, Nuclear Radiology (Licence: PA MD028712E) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD028712E) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PA MD028712E) | |
2085U0001X Radiology, Diagnostic Ultrasound (Licence: PA MD028712E) | |
Enumeration Date | 2006-06-02 |
Last Update Date | 2013-04-23 |