| NPI | 1477591154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A82528) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MD D79826) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME112607) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036166384) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-08-31 |