| NPI | 1245201565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-11711) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A65878) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX M6707) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2023-10-23 |