| NPI | 1336192970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM 20020263) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 36113010) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2005004442) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-09-19 |