| NPI | 1295013043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125059398) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR 183951) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2017-10-27 |