| NPI | 1144312943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: OR DO191292) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 125062715) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-11-02 |