| NPI | 1255750410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0107032) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A141752) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.155789) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036154512) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2026-05-19 |