| NPI | 1881875896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036168199) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL MD27173) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-17634) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD483675) | |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2025-07-31 |