| NPI | 1023063419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 2085N0904X Radiology Nuclear Radiology (Licence: IL 36081598) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 36081598) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-08 |