| NPI | 1861917114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 273718) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A193729) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036166676) | |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2024-09-10 |