| NPI | 1316231202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.142265) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01076864A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125.059431) | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2023-08-17 |