| NPI | 1992926406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-33720) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-115824) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 37678) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2009011505) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2019-11-15 |