| NPI | 1093799157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: IL 036-148104) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: NY 152482) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2022-12-10 |