| NPI | 1023085941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036-119313) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NV 1239) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 4299) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: CA 20A8710) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2013-09-12 |