| NPI | 1548287113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 053086) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME147396) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-153418) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-03-07 |