| NPI | 1205895505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME47523) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 143119) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 056085) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036113237) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01060252A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 39376) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 223954) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 009500497) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA07943000) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 86243) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD425849) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX J5689) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101238057) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2014-02-20 |