NPI | 1962463000 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 207U00000X Nuclear Medicine |
Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology |
2085R0202X Radiology Diagnostic Radiology | |
2085R0204X Radiology Vascular & Interventional Radiology | |
Enumeration Date | 2006-03-29 |
Last Update Date | 2007-07-08 |