| NPI | 1023019973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036095538) |
| Additional Taxonomies | 202K00000X (Licence: IL 036095538) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2023-04-04 |