| NPI | 1306075031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036177527) |
| Additional Taxonomies | 2085N0700X (Licence: NY 260873) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2025-11-13 |