NPI | 1326010356 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 22619) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0025586) |
2085R0202X Radiology, Diagnostic Radiology (Licence: TX T1430) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.155564) | |
Enumeration Date | 2006-02-03 |
Last Update Date | 2025-08-25 |