| NPI | 1023515509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036171048) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 74290) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2025-06-23 |