| NPI | 1306891841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX L6173) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NV 12090) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0025650) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35-07-4492-S) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101049809) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D57087) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 110062) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-107562) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME134254) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2024-08-20 |