NPI | 1811994999 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X (Licence: RI MD11285) |
Additional Taxonomies | 2085R0001X (Licence: FL ME0026427) |
2085R0001X (Licence: CA G26661) | |
2085R0001X (Licence: NV 4877) | |
2085R0001X (Licence: NC 2001-01567) | |
2085R0203X Radiology, Therapeutic Radiology (Licence: FL ME26427) | |
2085R0001X (Licence: NY 127667-1) | |
Enumeration Date | 2005-07-05 |
Last Update Date | 2025-09-15 |