| NPI | 1235208638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 20055) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 0C52921) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 40054) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 46763) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-126684) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 32183) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NV SP173) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08377300) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 95-00851) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.091331) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 26116) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SD 2777) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA 48895) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-09-23 |