| NPI | 1528293842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX P1578) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD166563) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-17042) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036167638) | |
| Enumeration Date | 2009-05-17 |
| Last Update Date | 2024-01-09 |