| NPI | 1225027592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME77760) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036138160) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: FL ME77760) | |
| 208D00000X General Practice (Licence: PA MD455215) | |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2024-02-19 |