| NPI | 1356335285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 27411) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME118405) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 47635) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 31321) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-9305) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101256330) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 20605) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 49734) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 23663) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 071427) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2015014396) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2017-12-20 |