| NPI | 1447347455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD439137) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08751200) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0009634) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME163863) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2024-05-14 |