| NPI | 1669494241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MO R6G76) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036114605) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2009-03-18 |