| NPI | 1285126086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: IL 036169809) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125071895) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA 61434708) | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2024-07-22 |