| NPI | 1871788323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036120748) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01092537A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301081973) | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2025-07-09 |