| NPI | 1548299977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2007003911) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036107248) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2009-09-04 |