| NPI | 1881187730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: ME MD26559) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 036177498) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036177498) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD222810) | |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2025-10-21 |