| NPI | 1174985287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 110823) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME141909) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.155721) | |
| 2085N0700X (Licence: GA 110823) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101286603) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2026-02-27 |