| NPI | 1013205947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125059507) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 325398) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2024-01-05 |