NPI | 1700963980 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A79565) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: CA A79565) |
2085N0904X Radiology, Nuclear Radiology (Licence: CA A79565) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: TX u0848) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2022-03256) | |
2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA A79565) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2024-11-19 |