| NPI | 1275979825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-148673) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125063048) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 63087) | |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2023-10-23 |