| NPI | 1861431876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: TX J9274) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036085942) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2025-06-16 |