| NPI | 1851316954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 11459) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036127137) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2021004975) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2025-04-16 |