| NPI | 1720306103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD454002) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D81629) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD044227) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036141628) | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2017-03-03 |