| NPI | 1316338072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: IL 036169361) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.072437) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.169361) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A176639) | |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2024-08-06 |