| NPI | 1437230554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX K1493) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 107491) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01041683A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35070510) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NM 96-82) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 18646) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AK 5304) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036084866) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD11325R) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WY 6918A) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2025-11-25 |