| NPI | 1952309213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD039205E) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036078872) |
| 2085N0700X (Licence: MD D0036911) | |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2023-03-07 |