| NPI | 1275606022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-090723) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 39524) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2025-10-03 |