| NPI | 1841210499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2000172098) |
| Additional Taxonomies | 2085N0904X (Licence: IL 036103811) |
| 2085N0904X (Licence: MO 2000172098) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036103811) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2025-10-06 |