| NPI | 1861421489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO DR-44856) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX m3068) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2005-00599) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD200087) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL me93539) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 049498) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR-44856) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL me93539) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX m3068) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NC 2005-00599) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: LA MD200087) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 049498) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2019-06-04 |