| NPI | 1306815576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN MD024392) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 36081276) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 29016) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NM T20020455) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME84190) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 12085) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 052140) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 00024989) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 82185) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 41586) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 31656) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Telemed) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA07670400) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 15284R) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101235786) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2013-03-26 |