| NPI | 1083657134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-104696) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 35262) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G87697) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M9531) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01061626A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301087103) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 1167) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NM TM2006-0017) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 239553) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2006-00472) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 25.000057) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD428455) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2015-06-24 |