| NPI | 1336126069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD22652) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00044224) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME169954) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 60182) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AK 6762) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301512917) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 36119390) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M-10694) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 42725) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NM TM2007-0558) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SD 7096) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2025-03-12 |