| NPI | 1467568261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME122024) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 312337) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036103028) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2019-10-15 |