| NPI | 1538370838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 57009115) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 48114) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME105553) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 36.12443) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD.203384) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 241931) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301095418) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD438188) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08673700) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 63586) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0009227) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 27349) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2009-11-27 |