| NPI | 1265660542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036123256) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD-18801) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME111813) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A114277) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2021-11-15 |