| NPI | 1952355786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036096843) |
| Additional Taxonomies | 2085N0700X (Licence: IL 036096843) |
| 2085N0700X (Licence: MO 103379) | |
| 2085N0700X (Licence: KY 42628) | |
| 2085N0700X (Licence: IN 01066438A) | |
| 2085N0700X (Licence: MD D0068341) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 42628) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 103379) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01066438A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0068341) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2025-08-14 |