| NPI | 1902079064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 35.149771) |
| Additional Taxonomies | 2085N0700X (Licence: IN 01088870A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.143195) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101262532) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01088870A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.149771) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA MD-44332) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 87187) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 12015396-1205) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q7645) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 21078) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 50180) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2019021592) | |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2025-04-25 |