| NPI | 1225150014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301506090) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036159456) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2022012726) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2025-04-17 |