| NPI | 1851351472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME94058) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 043420) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 056261) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 36113410) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01060500A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 39378) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 224194) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200500649) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA07974400) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35086092) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD426019) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101238049) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 21414) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2008-07-08 |