| NPI | 1578724894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 53044) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036128200) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01072713A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125054717) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2023-03-07 |