| NPI | 1780622472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME100455) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 41354) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 061771) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 208560) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0067972) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301093244) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08519700) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 249848-1) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2009-00239) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD435084) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD12507) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX TM00149) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A92883) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2024-02-19 |