| NPI | 1780180158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0072402) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.072369) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036153993) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-06-24 |