| NPI | 1396182325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101267099) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.145292) |
| 207R00000X Internal Medicine (Licence: MA 255479) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0088744) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 277485) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 255479) | |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2022-02-04 |