| NPI | 1528048832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MD D0055875) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA G68220) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: DE C10005912) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: DC MD30704) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: HI MD12698) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: OH 35077798Y) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD071072L) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: TX L2063) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101226328) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: CO 44741) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2008-03-27 |