| NPI | 1932245578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-132578) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: IL 036132578) |
| 2085N0700X (Licence: CO 47624) | |
| 2085N0700X (Licence: IL 036-132578) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2026-08-25 |