| NPI | 1639148406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01050269A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301104319) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00045885) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2005-1831) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101239115) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 11211) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 21705) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX J8302) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD-047067-L) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 26464) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.087298) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME73138) | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2020-07-16 |