NPI | 1750561569 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME136770) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: MI 4301500347) |
2085N0700X Radiology, Neuroradiology (Licence: KY 52927) | |
2085N0700X Radiology, Neuroradiology (Licence: PA MD435810) | |
2085N0700X Radiology, Neuroradiology (Licence: FL ME136770) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301500347) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD435810) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: KY 52927) | |
Enumeration Date | 2007-11-08 |
Last Update Date | 2024-08-12 |