| NPI | 1457320442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: TN 30598) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01058110A) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NJ MA76647) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: LA 15219R) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: AL 00025764) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MT 10495) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: KY 38417) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NY 180806) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME84219) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: GA 051555) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NM T20020459) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: OH 82267) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 31478) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: CO 41933) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036110126) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2013-03-26 |