| NPI | 1760409262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036084541) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25IA12920200) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-20237) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2026-02-26 |