| NPI | 1083690812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO 30704) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: OK 21397) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: TX J6133) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: WA MD0032460) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 34706) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NE 24348) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: OH 35-06-4904-H) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NJ MA72102) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NY 215113-1) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: CA G56084) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: HI 12895) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IL 36103741) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MT 59) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2019-05-15 |