| NPI | 1215135751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2025018346) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 0451116) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036174719) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 36260) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2025-06-20 |