| NPI | 1871639302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A124207) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2006018906) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036127385) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2023-02-21 |