| NPI | 1538320437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2017-0879) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: GA 069136) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 69136) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: UT 9532955-1205) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AR E-9650) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WI 55072-020) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036.140664) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO 2016009166) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2023-04-20 |