| NPI | 1538144563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200201094) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MT 10969) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 225734-1) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0007909) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301080590) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 45169-020) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 522853-1205) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01056680A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA07519400) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 12106) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NV SP013) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD-13743) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 28477) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 40917) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NM T2003-0030) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2018-04-09 |