| NPI | 1265471486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 36085058) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME161552) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2023-10-16 |