| NPI | 1952524449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.116382) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE CP1792) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO CDR.0006012) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WY 18994C) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2026-02-04 |