| NPI | 1164618278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A110683) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301114640) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101264885) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 309023) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 45271) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 2351) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 37496) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-37669) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 30955) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 57476) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MT MED-PHYS-LIC-64774) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2018012676) | |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2023-03-10 |