| NPI | 1487186698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A176487) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 1487186698) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-10-27 |