| NPI | 1669733184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 319694) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: IL 036136567) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036136567) | |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2022-12-09 |