| NPI | 1669412961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: CT 40584) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: GA 057296) |
| 2085N0904X Radiology, Nuclear Radiology (Licence: IL 36115013) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 40584) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 057296) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 36115013) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |