| NPI | 1124284401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 36-124632) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: IL 036-124632) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125052416) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2022-06-17 |