| NPI | 1811034325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: CA G34426) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G34426) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 72054) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 17163) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 6008) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 00-38673) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ND 5873) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN MD-00020956) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 16063) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 15008) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 19613) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 032637) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME0074806) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD-6880) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX H7483) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |