NPI | 1366535353 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: MO 2004017584) |
Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: CA A95212) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CA A95212) | |
2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA A95212) | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2022-08-24 |