| NPI | 1124099064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036106930) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A87531) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2014-03-05 |