| NPI | 1194358200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036162712) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: IL 125.075331) |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2023-10-23 |