| NPI | 1528406543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2018-00681) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125063399) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 57.024604) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.147465) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2023-11-13 |