| NPI | 1487938254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: CA A141086) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125059518) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A141086) | |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2024-04-07 |