| NPI | 1396723193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD418366) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: VA 0101263765) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 41155) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.123224) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301113516) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 47737) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 207195) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01074612A) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2022-11-15 |