| NPI | 1669814737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: WI 62883-20) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: WI 62883-20) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 62883-20) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-150688) | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2024-01-08 |