| NPI | 1316102338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2014036375) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 53773) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-37604) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036135396) | |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2017-11-14 |