| NPI | 1316409576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A182294) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 36776) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AK 231718) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0074425) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.173679) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MT 146864) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA12560400) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD61619945) | |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2025-04-08 |