| NPI | 1275794158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036132300) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL BF4649604-A722) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL BF4649604-A722) | |
| 208600000X Surgery (Licence: IL BF4649604-A722) | |
| 225100000X Physical Therapist (Licence: IL 070-011581) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2022-06-01 |