| NPI | 1093792913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036080130) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 43681) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.091126) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 40761) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 22638) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101240730) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 28696-020) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01058962A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036080130-5) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 28696) | |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2023-01-25 |