| NPI | 1992774798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: TN 38814) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: TX J7202) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MN 31013) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101051569) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 27825) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: WI 45821020) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NM TM20040338) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: LA MD015785R) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MS 18804) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01060229A) | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2013-03-26 |