| NPI | 1003265570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25IA12177600) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036178211) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX T3552) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2026-03-27 |