| NPI | 1740329242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-117104) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD462725) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2004001951) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2024-02-28 |