NPI | 1598748204 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 029428) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: GA 031816) |
2085N0904X Radiology, Nuclear Radiology (Licence: GA 031816) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 031816) | |
2085P0229X Radiology, Pediatric Radiology (Licence: GA 031816) | |
Enumeration Date | 2005-11-28 |
Last Update Date | 2007-07-08 |