| NPI | 1841466430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 51692) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: FL ME128594) |
| 2085N0904X Radiology, Nuclear Radiology (Licence: FL ME128594) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C188288) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME128594) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 254194) | |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2023-09-21 |