NPI | 1275517708 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 25105) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: CO 25105) |
2085N0700X Radiology, Neuroradiology (Licence: CO 25105) | |
2085N0904X Radiology, Nuclear Radiology (Licence: CO 25105) | |
2085P0229X Radiology, Pediatric Radiology (Licence: CO 25105) | |
Enumeration Date | 2005-11-29 |
Last Update Date | 2013-10-04 |