| NPI | 1366490658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-061493) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 133436) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 101242282) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DC 7354) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 17757) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 43362) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.091085) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2009-11-04 |