| NPI | 1033359096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA OS010334L) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 34.011300) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101020194) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 02005238A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 03448) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0102203440) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 267610) | |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2019-11-06 |