| NPI | 1083657514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology (Licence: IL 036146059) |
| Additional Taxonomies | 2085P0229X Radiology Pediatric Radiology (Licence: SC AL28442) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036146059) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2024-01-16 |