| NPI | 1609194810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD600006051) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036135158) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0107029) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2026-07-17 |