| NPI | 1740427467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.164531) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 268722) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD435668) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D70541) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ME MD19550) | |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2024-06-11 |