| NPI | 1033189105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: ME MD18651) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 063098176) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 40136020) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 32391) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2022-03-31 |