NPI | 1437492238 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0082170) |
Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MD D0082170) |
2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: MD D0082170) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: NY 292741) | |
Enumeration Date | 2013-03-29 |
Last Update Date | 2024-02-10 |