| NPI | 1710936497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-099816) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101242387) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.091090) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D00661190) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA06727700) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD057715L) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2024-03-19 |