NPI | 1891737904 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL 163808) |
Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: KY 25364) |
2085R0202X Radiology, Diagnostic Radiology (Licence: KY 25364) | |
2085U0001X Radiology, Diagnostic Ultrasound (Licence: KY 25364) | |
2085B0100X Radiology, Body Imaging (Licence: KY 25364) | |
Enumeration Date | 2006-06-12 |
Last Update Date | 2023-11-09 |