| NPI | 1346700713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-51427) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT221886) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036168636) | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2025-08-20 |