| NPI | 1306164041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036157584) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A130649) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2023-11-09 |