| NPI | 1841485406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD444989) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT191388) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME165186) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.124215) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 89551) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 320535) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 318477) | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2024-01-11 |