| NPI | 1366756892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: CA A134728) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A134728) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125058178) | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2024-04-08 |