| NPI | 1306108386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX P8914) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD470656) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 28264) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036152385) | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2025-08-11 |