| NPI | 1952386476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX H9920) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA10727900) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD469781) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 67106) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-14203) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2024-11-19 |