| NPI | 1326195280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 286006) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD038796) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-123057) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2022-09-08 |