| NPI | 1316981996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME80424) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: FL ME0080424) |
| 2085N0700X Radiology Neuroradiology (Licence: FL ME0080424) | |
| 2085N0904X Radiology Nuclear Radiology (Licence: FL ME0080424) | |
| 2085P0229X Radiology Pediatric Radiology (Licence: FL ME0080424) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: GA 103875) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME0080424) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101053709) | |
| 2085R0203X Radiology Therapeutic Radiology (Licence: FL ME0080424) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: FL ME0080424) | |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: FL ME0080424) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2025-08-18 |