| NPI | 1548293673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 105364) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: WV 21769) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: WI 47536-020) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101240978) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: TN 39195) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD459690) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: KY 39889) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036112582) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: KS 04330951) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-10-29 |