| NPI | 1124099064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036106930) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01090138A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A87531) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2026-05-18 |