| NPI | 1295782480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036118652) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 50881) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 36477) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2003003392) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2025-07-23 |