| NPI | 1932170800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA OS009611L) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2021008001) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036153756) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2025-07-23 |