| NPI | 1336133735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 00013481) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME89827) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 20761) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35-07-9272-L) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 0000-39011) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX H3097) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 34736) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AL 00013481) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME89827) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: SC 20761) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OH 35-07-9272-L) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NC 0000-39011) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX H3097) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TN 34736) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2011-11-02 |