| NPI | 1598853087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 15462) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI EMC0005918) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036172328) | |
| 174400000X Specialist (Licence: MS 15462) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2024-10-23 |