| NPI | 1144752882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 81462) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ND 23891) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35C.004033) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M-17032) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 56837) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 14706-320) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SD 18128) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2026-05-04 |