| NPI | 1922050756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 080219) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01063717A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 36-115023) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2018-08-06 |