| NPI | 1427214857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 67438-20) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 50104-20) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301098589) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125052322) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2024-02-01 |