| NPI | 1346342342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036085089) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 317782) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 63114) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 33539) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA MD-44772) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GU M-2206) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2024-08-29 |