| NPI | 1245557115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 84547) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 48001) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036142634) | |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2021-06-22 |