| NPI | 1205282746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 71177) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125.068189) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036156304) | |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2022-08-22 |