| NPI | 1265416002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 67493) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R6032) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036093776) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2024-03-15 |