| NPI | 1114248986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A115617) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101263710) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2024004442) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036144758) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2024-04-15 |