NPI | 1477507762 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD419061) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: PA MD419061) |
2085N0700X Radiology, Neuroradiology (Licence: PA MD419061) | |
2085N0904X Radiology, Nuclear Radiology (Licence: PA md419061) | |
2085U0001X Radiology, Diagnostic Ultrasound (Licence: PA MD419061) | |
Enumeration Date | 2006-05-20 |
Last Update Date | 2016-07-21 |