| NPI | 1366691529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX S1889) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 41646) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C170664) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.118236) | |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2025-10-17 |