| NPI | 1477714087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036157481) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI L1354535) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A124599) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2023-11-09 |