| NPI | 1376933317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: IL 036.159632) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066485) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2022-05-26 |