| NPI | 1083880306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036.139468) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MD D75708) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MI 5315035441) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: TX Q8462) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2021-04-22 |