| NPI | 1710972617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C54431) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME102629) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0008874) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01058030A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD422104) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60073275) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 53836-020) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08409500) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N6785) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 218516-1) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 063056) | |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2024-09-23 |