| NPI | 1851424899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA11051200) |
| Additional Taxonomies | 2085N0700X (Licence: NJ 25MA11051200) |
| 2085N0700X (Licence: IL 036142693) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036142693) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2025-08-12 |