| NPI | 1396239125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME176998) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301515727) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 95127) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036165017) | |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2026-01-05 |