| NPI | 1679576045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA10953800) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX T5133) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OR DO217652) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1017263) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 89725) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2023037870) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A191928) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL os20743) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2024-01-31 |