| NPI | 1144380049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-114817) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 37169) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2022-08-22 |