NPI | 1487610937 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: AZ 35513) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME110568) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 35513) | |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: FL ME110568) | |
2085N0700X Radiology, Neuroradiology (Licence: CA C54330) | |
2085N0700X Radiology, Neuroradiology (Licence: CO DR.0064428) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME110568) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 35513) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0064428) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AZ 35513) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME110568) | |
Enumeration Date | 2006-04-25 |
Last Update Date | 2024-02-21 |