| NPI | 1831361963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036128797) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301093841) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT185672) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 7561943-1205) | |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2023-11-20 |