| NPI | 1245389709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 242743) |
| Additional Taxonomies | 2085N0904X (Licence: IL 036176777) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2026-01-05 |