| NPI | 1033146634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MT 57777) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-139305) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2020022078) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 51149-20) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0069796) | |
| 208D00000X General Practice (Licence: WI 51149-20) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 83176) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DE 64526) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 281634) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C166687) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2025-10-12 |