| NPI | 1295294015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036166961) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125073695) |
| 207R00000X Internal Medicine (Licence: IL 125073695) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-06-20 |