| NPI | 1952511214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: CA A96518) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: CA a96518) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 322477) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA a96518) | |
| 2085R0205X Radiology, Radiological Physics (Licence: CA a96518) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA a96518) | |
| 209800000X Legal Medicine (Licence: CA 207251) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-02-07 |