| NPI | 1376594978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 6719) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036147289) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2021005535) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2025-05-01 |