| NPI | 1477751584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL os17200) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 008940) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 18836) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 68018) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C2-0023873) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX T036) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 49597) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 87148) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.154219) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 02006146A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA DO-05687) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 04816) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 333535) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101025860) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 25MB11014400) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2025-08-22 |