| NPI | 1356535306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2012004811) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036117336) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036117336) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 0063475) | |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2024-09-25 |