| NPI | 1275594087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO 2007023623) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR45951) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME130541) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 25949) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N0382) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G53955) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-9077) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 0432749) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 37420) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01061014A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 50318) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ND 10987) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 23845-20) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA G53955) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2023-06-21 |