| NPI | 1215996681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C160552) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 058050) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301076286) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036130392) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2023-04-26 |