| NPI | 1396056321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036159065) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MI 4301508455) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MA 262871) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2024-03-19 |