| NPI | 1992739031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 0430885) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036116286) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 45213) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2017-01-19 |