| NPI | 1134649197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125071768) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017020693) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2023-12-04 |