| NPI | 1689712408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 46468) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA 453710) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036136302) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 113481) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AR 3605) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G76974) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-07-29 |