| NPI | 1699941039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-118062) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 90367) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 20A10475) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2023-04-24 |