A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Vascular & Interventional Radiology | 2085R0204X |
| Neurological Surgery | 207T00000X | |
| Neurology | 2084N0400X | |
| Surgical Critical Care | 2086S0102X |
* Indicates primary specialty
| NPI Number | 1720020894 |
| Credentials | MD |
| Entity | Individual |
| Enumeration date | 06/12/2006 |
| Last updated | 11/30/2021 - About 5 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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