| NPI | 1669491320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036119690) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: CO DR.0048768) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: OH 87714) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: IL 036119690) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 0433604) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301078558) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2009002511) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A105003) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: IL 036119690) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2025-02-05 |