| NPI | 1952539280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-164444) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD185931) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60808674) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M-14669) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2023-10-23 |