| NPI | 1699979898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2014-01835) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301088316) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 15349) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C136410) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 231480-1) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 43574) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD034583) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.133690) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 22433) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 48800) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2026-03-23 |