| NPI | 1659597136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2011009903) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: OH 35-094877) |
| 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: OH 35-094877) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: OH 35-094877) | |
| 2085H0002X Radiology, Hospice and Palliative Medicine (Licence: OH 35-094877) | |
| 2085N0700X (Licence: OH 35-094877) | |
| 2085N0904X (Licence: OH 35-094877) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: OH 35-094877) | |
| 2085R0001X (Licence: OH 35-094877) | |
| 2085R0203X Radiology, Therapeutic Radiology (Licence: OH 35-094877) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OH 35-094877) | |
| 207U00000X Nuclear Medicine (Licence: OH 35-094877) | |
| 207UN0903X Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine (Licence: OH 35-094877) | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: OH 35-094877) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: OH 35-094877) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2011-07-26 |