| NPI | 1982894853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036132322) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 20011001445) |
| 2085B0100X Radiology, Body Imaging (Licence: IN 01070635A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2007014745) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01070635A) | |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2021-06-29 |