NPI | 1669510947 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35043301) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 134472) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301052451) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD042621E) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA05681100) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: ND 6740) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036077263) | |
Enumeration Date | 2007-02-01 |
Last Update Date | 2008-06-11 |