| NPI | 1437109816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-044542) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.090033) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01060007A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 46433-020) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2025-04-01 |