| NPI | 1477505998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX L8672) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01055583A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2001028977) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 27769) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME95377) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G87477) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 39912) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2014-01-17 |