| NPI | 1457799470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D90046) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125063614) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A155349) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2021-08-13 |