| NPI | 1528441219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-17891) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1019421) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2021-0336) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA12176600) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 101281833) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A146527) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 72623) | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2024-11-20 |