| NPI | 1689878282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX P8569) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036125293) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX BP1-0026585) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2011009939) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2018-12-04 |