| NPI | 1518227180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 272986) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TN 62987) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2022042056) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD478304) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A156634) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036158835) | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2023-11-30 |