| NPI | 1932435229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036144974) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.016113) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01070369A) | |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2023-08-18 |