| NPI | 1326157454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.151361) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX F3275) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 112106) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2026-04-03 |