NPI | 1871683326 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA G56491) |
Additional Taxonomies | 2085U0001X Radiology Diagnostic Ultrasound (Licence: CA G56491) |
2085N0904X Radiology Nuclear Radiology (Licence: CA G56491) | |
2085B0100X Radiology Body Imaging (Licence: CA G56491) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2014-05-29 |