| NPI | 1932518123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MB10839800) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 83098) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX S7837) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA DO-05594) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0102206151) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 34.013701) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 032.0133916) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 20699) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 008479) | |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2020-12-30 |