NPI | 1417994252 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA A78637) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: CA A78637) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CA A78637) | |
2085B0100X Radiology, Body Imaging (Licence: CA A78637) | |
2085N0904X Radiology, Nuclear Radiology (Licence: CA A78637) | |
2085P0229X Radiology, Pediatric Radiology (Licence: CA A78637) | |
2085R0203X Radiology, Therapeutic Radiology (Licence: CA A78637) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: CA A78637) | |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A78637) | |
Enumeration Date | 2006-06-01 |
Last Update Date | 2007-10-09 |