NPI | 1184685299 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX L4523) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036172895) |
2085R0202X Radiology, Diagnostic Radiology (Licence: OK 22746) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: MI EMC0006147) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0027653) | |
Enumeration Date | 2006-03-29 |
Last Update Date | 2025-07-24 |