| NPI | 1992713630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 205848-1) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NY 205848-1) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NY 205848-1) | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: NY 205848-1) | |
| 2085B0100X Radiology, Body Imaging (Licence: NY 205848-1) | |
| 2085N0904X Radiology, Nuclear Radiology (Licence: NY 205848-1) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 205848) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 205848-1) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NY 205848-1) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2018-12-05 |