| NPI | 1649411422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036138773) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD456544) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2017-1066) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 276593) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME112464) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2011-00487) | |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2024-10-09 |