| NPI | 1275519001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G25290) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 33865) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AK 3882) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 30660) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MT 67) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ MA72104) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 215258-1) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35-06-3886-K) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 21480) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00032583) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NV SP079) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 24392) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX TM00056) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-103761) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI 13079) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2020-05-15 |