| NPI | 1306191432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 81262) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036142631) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.142631) | |
| Enumeration Date | 2012-07-15 |
| Last Update Date | 2023-02-22 |