| NPI | 1003844101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2009-02068) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 33023) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301095598) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M-10471) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD 202562) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 52462) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101246277) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 32684) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME 99907) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2009-0152) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA07790600) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 063354) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 230879-1) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 42856) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD438167) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2015-12-23 |