A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Diagnostic Radiology | 2085R0202X |
| Body Imaging | 2085B0100X | |
| Diagnostic Ultrasound | 2085U0001X | |
| Nuclear Radiology | 2085N0904X |
* Indicates primary specialty
| NPI Number | 1336149319 |
| Credentials | DO (Doctor of Osteopathic) |
| Entity | Individual |
| Enumeration date | 07/29/2005 |
| Last updated | 03/23/2020 - About 6 years ago |
| Sole proprietor1 | No |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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