| NPI | 1689235848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A193560) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AK 233222) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0074613) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD-25089) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 36.174149) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MT MED-PHYS-LIC-148296) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 45060) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA12606500) | |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2025-04-18 |