NPI | 1265475883 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D364194) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: MD D364194) |
2085D0003X Radiology, Diagnostic Neuroimaging (Licence: MD D364194) | |
2085U0001X Radiology, Diagnostic Ultrasound (Licence: MD D364194) | |
2085N0904X Radiology, Nuclear Radiology (Licence: MD D364194) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MD D364194) | |
Enumeration Date | 2006-06-13 |
Last Update Date | 2013-08-09 |